Abstract

MANAGEMENT OF PHALINI YONIVYAPAD WSR CYSTOCELE THROUGH AYURVEDA: A CASE STUDY

Dr. Annu Nishad* and Dr. Jyoti Bhardwaj

ABSTRACT

Prolapse of pelvic organs is one among common clinical conditions met in day-to-day gynaecological practise especially among the parous women. Laxity and descent of the upper 2/3rd of the anterior vaginal wall is called cystocele. The incidence of cystocele is around 9 per 100 women per year. In which the highest incidence of symptoms occurs between age 70-79 years. As per classics of Ayurveda different forms of pelvic organ prolapse can be considered under Prasramsini yonivyapad, Phalini yonivyapad and Mahayoni. Among them cystocele can be closely compared with Phalini yonivyapad in which prolapsed vaginal wall looks like a fruit or an egg. As per the western medical system treatments like vaginal pessaries are prescribed in stage 1 and 2 on the other hand for later stages 3 and 4 surgical management is indicated which include their own complications. So, considering the cost effectiveness, more safety and minimal chances of complication, ayurvedic management can be adopted for this condition in the form of special local therapies. In this case Panchavalkala Kashaya yoni prakshalan, Jatyadi Taila yoni pichu were used along with oral medications.

Keywords: Pelvic organ prolapse, Cystocele, Phalini Yonivyapad.